目的:了解城市老龄化居民慢性病状况,探讨老年人卫生服务需求。方法:以WHO全球老龄化与成人健康研究(SAGE)家庭及个人问卷调查资料为基础,采用SPSS13.0做统计学分析。结果:被确诊的主要慢性病(按患病率大小)依次为:高血压、关节炎、白内障、糖尿病、心绞痛;并且随年龄增高患病率上升;过去12个月中,有求医需求者中29.63%的人未获得卫生保健,主要原因是认为病不重、不能负担保健费用和没有时间,住院自付费用平均4 845.1元,非住院平均费用912.5元。结论:应针对老年慢性病患病率的差异,加强老年慢性病防治规划,改进不同卫生机构服务内容和服务方式,完善老年人卫生保健的政策法规和医疗保险制度,以适应老年人对医疗服务需求多样化。 OBJECTIVE: To understand the status of chronic diseases of urban residents aging and to explore the needs of elderly health services. Methods: Based on the questionnaires of family and individuals of WHO Global Aging and Adult Health Study (SAGE), SPSS13.0 was used for statistical analysis. Results: The main chronic diseases diagnosed (according to the prevalence rate) were: hypertension, arthritis, cataracts, diabetes, angina pectoris; and the prevalence increased with age; in the past 12 months, 29.63% of them did not get health care. The main reason was that they did not think the disease was serious, they could not afford the health care and did not have time. The average cost of hospital out-patient expenses was 4 845.1 yuan and the average non-hospital expense was 912.5 yuan. Conclusion: According to the difference of the prevalence of chronic diseases among the elderly, we should strengthen the planning of prevention and control of chronic diseases in the elderly, improve the service contents and service modes of different health institutions, improve the policies and regulations and medical insurance system of the elderly in order to adapt to the diversified needs of the elderly The